NPI | 1538897798 |
---|---|
Entity Type | Organization |
Authorized Contact | ALPHA MERCHANT Owner 520-299-1736 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2022-08-15 |
Last Update Date | 2022-08-15 |